Provider Demographics
NPI:1932512605
Name:THE FLOATING HOSPITAL INC.
Entity Type:Organization
Organization Name:THE FLOATING HOSPITAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRANAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:718-784-2240
Mailing Address - Street 1:PO BOX 8397
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-8397
Mailing Address - Country:US
Mailing Address - Phone:718-784-2240
Mailing Address - Fax:718-683-5751
Practice Address - Street 1:285 E 171ST ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-8939
Practice Address - Country:US
Practice Address - Phone:718-583-0174
Practice Address - Fax:718-901-1829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002289R261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05652662Medicaid